Individual provider Active NPI

Jamie Lynn Marie Meskin

  • Behavior Technician
  • Bloomingdale, IL
National Provider Identifier
1003462060
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone
(815) 295-5470
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 178.019239 IL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701

Mailing address

1814 Heatherway LN Apt 2D
New Lenox, IL 60451-2490
Phone (773) 420-7488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.019239ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Essentially You Counseling and Wellness Services, LLC Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

125 Fairfield Way
Ste 380
Bloomingdale, IL 60108
Phone (815) 219-3193

255 E Lake St
Ste 200
Bloomingdale, IL 60108
Phone (815) 295-5470

440 W Boughton Rd
Ste 104
Bolingbrook, IL 60440
Phone (331) 318-8181

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1003462060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 HEATHERWAY LN APT 2D",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512490",
            "telephone_number": "773-420-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FAIRFIELD WAY STE 380",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601083701",
            "telephone_number": "815-295-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKIN",
        "first_name": "JAMIE",
        "middle_name": "LYNN MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019239",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.